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I have Blue Choice of SC and got denied!!!



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Well over two weeks (04/2/08) ago I went to my PCP and got the referrel to the Dr. Givens. I went to the Seminar on Monday (05/05/08) and also got lucky and had my first consult with them also that afternoon. While I was sitting in the office I got the bad new,:) my insurance wont cover anything dealing with weight loss surgery and I don't have $14,000.00 to pay for this surgery. So now I have to appeal to the insurance to prove this is a medical need and not to just look good but for my health. I'm also needing to send a letter to our senator of SC and to the governor of SC. The state of SC has it where the insurance wont pay for this wonderful surgery. I have BlueChoice of South Carolina. If anyone has them or can help me in getting them to approve this surgery I would appricate it. You can email me on here or at rebechuds@aol.com .

I want to be here for my children to see them grow up and be healthy for the rest of my life. I have for the last month cut back alot in what I eat and have lost 6 pounds but I'm hungry all the time to. HELP HELP!!!!!

__________________

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First let me tell you I was denied by BCBS of MN. What I was told was I needed to work with my primary to loose weight for 12 months. I then was told that when I went on Medicare I could apply after 6 months, and if they okayed it then I could have it done.

Long story short, if you have co morbidities: diabetes, heart problems, lung problems, joint problems, high blood pressure and your primary will write to BCBS this might help your case.

Just keep bugging the bcbs office to ask them in what cases this has been allowed.

Good luck

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I have spoke with BCBS of SC and they have told me that I will need to speak with my HR dept. b/c they are the ones how has put it has an exclusion in our policies for SC. I'm going a head and submitting an appeal letter with my diet history, family history and some pics of me. I'm trying to get my PCP to write a letter to them and when I go to the phsyc evel. appt in a few weeks I want to make sure I have everything so when i do get the denial, I will submit it right back to them b/c I'm ready to fight with them about this I need to lose the weight for my health.

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You Go Girl, We Are All Behind You And I For One Would Write A Letter For You To Bcbs As To How It Has Made A Difference In My Life In Just 3 Months!

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I have a question does anyone know if BCBS of TX PPO (Blue Choice) covers the Lap-Band procedure?????

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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      1. This update has no replies.
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